重症阔韧带妊娠影响因素分析

Analysis of Influencing Factors of Severe Broad Ligament Pregnancy

目的探讨发生重症阔韧带妊娠的高危因素。方法收集深圳市中医院(1例,2018年3月)以及1984—2018年文献报道的有详细临床资料的阔韧带妊娠患者(共50例),对发病情况、临床表现、体征、实验室检查、治疗及预后等临床资料进行统计分析,采用Logistic回归分析,探讨发生重症阔韧带妊娠的高危因素。结果资料显示盆腔包块最大径、盆腔积液最大径与重症阔韧带妊娠的发生密切相关,差异有统计学意义(P <0.05),盆腔包块最大径(OR=1.113,95%CI=1.031-1.202)、盆腔积液最大径(OR=1.115,95%CI=1.022-1.217)是影响重症阔韧带妊娠的高危因素,当盆腔包块最大径>38.5 mm、盆腔积液最大径> 31.5 mm极有可能存在重症阔韧带妊娠。结论盆腔包块最大径、盆腔积液最大径作为评价重症阔韧带妊娠的影响因素需引起足够的重视,可警示临床提前做好危重症阔韧带妊娠抢救的准备。

Objective To discuss the risk factors of severe broad ligament pregnancy. Methods To collect 50 patients with broad ligament pregnancy with detailed clinical data reported in literature from 1984 to 2018,and one case happened in March 2018 in ShenZhen Traditional Chinnese Hospital. To summarize the incidence,the clinical manifestation, the laboratory examination, the treatment and the prognosis by Logistic regression analysis to explore the high-risk factors leading to severe broad ligament pregnancy. Results The data showed that the maximum diameter of pelvic mass and the maximum diameter of pelvic fluid accumulation were statistically significant(P<0.05). The maximum diameter of pelvic mass(OR=1.113,95%CI=1.031-1.202) and the maximum diameter of pelvic fluid accumulation(OR=1.115, 95%CI=1.022-1.217) were the independent factors affecting severe broad ligament pregnancy. Conclusion The maximum diameter of pelvic mass and the maximum diameter of pelvic fluid accumulation should be paid enough attention as the influencing factors of severe broad ligament pregnancy, so as to warn clinical preparation for rescue of critical broad ligament pregnancy in advance.